Jasmyne Detree Grimmage

NPI #1982359071 in Holiday, Florida

Provider Information

NPI Number: 1982359071
Entity Type: Individual
Name: Jasmyne Detree Grimmage
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2022
Last Updated: Feb 16, 2022

Practice Location

Address: 4719 FOOTHILL DR
City: Holiday
State: Florida
ZIP Code: 34690-3926
Phone: (727) 491-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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